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Abstract #19066 Published in IGR 3-1
Neovascular glaucoma following proton-beam therapy
D'Hermies F; Meyer A; Morel X; Lumbroso L; Levy C; Desjardins L; Frau E; Halhal M; Elmaleh C; Berges OJournal Français d'Ophtalmologie 2001; 24: 95-101
A 52-year-old-male patient was treated for a posterior choroid melanoma of the right eye. When it was diagnosed, it measured 6 mm in thickness and 11.9 mm for the largest diameter and had a typical mushroom shape. General investigations found no metastatic disease. It was treated with proton-beam irradiation. Seven years later, the patient experienced increased intraocular pressure associated with cataract and pain. The patient finally accepted enucleation, as the vision of this eye was completely lost and the eye had become painful. Histological analysis of the eye showed changes affecting both the anterior and the posterior segments of the eye, mostly related to the tumor and the consequences of treatment. Neovascular glaucoma is a major complication that very often leads to enucleation. LA: French
Dr F. D'Hermies, Service d'Ophtalmologie, Hotel-Dieu, 1, place du Parvis Notre-Dame, F-75181 Paris Cedex 04, France
Classification:
9.4.5.1 Neovascular glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)